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All Journal Majalah Kedokteran Bandung Global Medical and Health Communication Jurnal Kebidanan Dan Kesehatan Tradisional Jurnal Sistem Kesehatan JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Jurnal Kesehatan Bina Generasi Bunda Edu-Midwifery Journal (BEMJ) JURNAL KESEHATAN INDRA HUSADA JKM (Jurnal Kebidanan Malahayati) Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Midwifery and Nursing JOMIS (Journal of Midwifery Science) Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Medikes (Media Informasi Kesehatan) JURNAL MUTIARA NERS Sehat Masada GENIUS JOURNAL (General Nursing Science Journal) Jurnal Riset Kebidanan Indonesia Lux Mensana: Journal of Scientific Health Bandung Conference Series : Medical Science Jurnal Kebidanan dan Keperawatan Aisyiyah Medika Respati : Jurnal Ilmiah Kesehatan Healthcaring: Jurnal Ilmiah Kesehatan Journal Research Midwifery Politeknik Tegal ENDLESS : International Journal of Future Studies Jurnal Bidan Cerdas
Hidayat Wijayanegara
STIKes Dharma Husada, Bandung, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Other

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A Comprehensive Study of the Dynamic Interaction Between Normal Labor Pain and Maternal Anxiety Levels: A Multivariable Approach to Analyzing Psychophysiological Influences and Subjective Perceptions Wijayanegara, Hidayat; H. R., Teni Nurlatifah; Rowawi, Roni; Herawati, Yanti
ENDLESS: INTERNATIONAL JOURNAL OF FUTURE STUDIES Vol. 5 No. 2 (2022): ENDLESS : International Journal of Future Studies
Publisher : Global Writing Academica Researching & Publishing

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Abstract

Normal labor is a complex physical and emotional experience for a mother, with pain being a major element in this process. The interaction between labor pain and maternal anxiety levels is an aspect that requires in-depth understanding, given its influence on the psychophysical well-being of both mother and baby. Although the scientific literature has highlighted the importance of pain and anxiety management during labor, comprehensive studies that consider the psychophysiological and subjective perceptual influences on this dynamic interaction are limited. Therefore, this study aimed to explore the relationship between pain in normal labor and maternal anxiety levels through a multivariable approach. This research method uses a quantitative approach with an analytic observational research type. The research design was conducted prospectively. This research method involves maternal respondents who experience normal labor, with data collection through measuring anxiety levels using standardized questionnaires and psychophysiological analysis using objectively measured parameters. In addition, a multivariable approach was used to analyze the complexity of the interaction between the variables involved. The sample size was 100 laboring mothers, randomly selected from the population of mothers who met the inclusion criteria. The population was mothers giving birth at TPMB Midwife Delima in Bandung City. Using cluster sampling, only 40 pomegranate midwives (10 sub-districts) were taken from a total of 127 pomegranate midwives from 30 sub-districts. The results showed that the average level of pain during labor reached 6.8 with an average duration of 8 hours. The average maternal anxiety level reached 55 on a scale of 0-100. A significant correlation was found between pain and anxiety (r = 0.68, p < 0.05), while psychophysiological influences such as frequency of uterine contractions and blood pressure also played a role in the experience of pain. Social support was also shown to influence anxiety levels (p = 0.005). These findings illustrate the complexity of interactions between psychophysiological and social aspects in the context of normal labor, providing a basis for the development of more targeted intervention strategies in the management of maternal pain and anxiety. The conclusion of this study shows that there is a significant relationship between pain in normal labor and maternal anxiety levels. Psychophysiological influences, such as frequency of uterine contractions and blood pressure, as well as social support, play an important role in determining the mother's experience during labor. Therefore, increased attention to pain management and provision of adequate social support may be key to reducing maternal anxiety levels. A suggestion for health practitioners is to strengthen efforts to integrate holistic pain management strategies and enhance aspects of social support during normal labor, in the hope of improving the mother's overall emotional and physical well-being.
The effect of differences in the management of mild pain with and without hypnotherapy speakers in post-operative cancer patients Sugiyono, Iis; Suardi, Achmad; Suryani, Suryani; Anwar, Anita Deborah; Rowawi, Roni; Wijayanegara, Hidayat
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).490-503

Abstract

Background: Cancer, a prevalent non-communicable disease globally and in Indonesia, poses significant health challenges. Pain, a frequent and dreaded symptom in cancer patients, can severely impact their functional abilities, quality of life, and elevate stress levels within families. Non-pharmacological approaches to pain management, like hypnotherapy, offer safe, affordable, and readily applicable solutions.Objectives: This research seeks to evaluate the impact of varying approaches to managing mild pain, specifically comparing the use of hypnotherapy speakers versus their absence, in post-operative cancer patients at RSPAD Gatot Soebroto during the period from December 2023 to January 2024.Methods: This quantitative study employs a Quasi-Experimental design with a Two Group Pretest-Posttest format. The research took place in the Obstetrics Ward on the second floor of PIS RSPAD Gatot Soebroto from December 16, 2023, to January 17, 2024. A total of 44 participants were included, divided into a control group and an intervention group. Data collection was carried out using observation sheets and universal pain assessment tools. Descriptive statistics were analyzed using univariate analysis, and normality tests were performed before conducting bivariate analysis to assess data distribution.Results: The research revealed a notable decrease in pain scores following the use of hypnotherapy speakers. Initially, the average pain score was 2.59 (SD=0.59) prior to the therapy, which dropped to 0.73 (SD=0.83) post-therapy. Both the administration of Paracetamol alone and in combination with hypnotherapy speakers significantly alleviated pain in patients with ovarian and cervical cancer (p<0.001). Moreover, a significant difference was observed between the intervention and control groups in the post-test results (p=0.004).Conclusions: These results suggest that combining Paracetamol with hypnotherapy speakers is more effective at alleviating pain in patients with ovarian and cervical cancer than using Paracetamol alone. This study serves as a valuable reference for future research on the utilization of hypnotherapy speakers and offers practical guidance for midwives to adopt hypnotherapy speakers to expedite pain relief in cancer patients.
The Effectiveness Of Combining An Electric Belt And Paracetamol For Adolescent Girls Experiencing Mild Primary Dysmenorrhea Sumini, Sumini; Suardi, Achmad; Sastra, Herri; Anwar, Anita Deborah; Sutisna, Ma'mun; Wijayanegara, Hidayat
JKM (Jurnal Kebidanan Malahayati) Vol 12, No 2 (2026): Volume 12 No 2 Februari 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v12i2.22563

Abstract

Latar Belakang: Menstruasi yang cenderung disertai nyeri (dismenore) adalah kondisi yang terus dialami banyak wanita sejak masa remaja hingga dewasa. Masih dibutuhkan pengembangan lebih lanjut dalam terapi non-farmakologis untuk dijadikan pilihan pengobatan alternatif. Salah satu inovasi yang menjanjikan adalah penggunaan sabuk listrik, yang dirancang untuk memberikan sensasi menenangkan dan meningkatkan sirkulasi darah. Tujuan: Studi ini bertujuan untuk menganalisis efek dan efektivitas penggunaan sabuk listrik dibandingkan dengan penggunaan parasetamol pada remaja putri di Sekolah Kejuruan Kesehatan Bhakti Kencana Garut.Metode: Penelitian ini disusun sebagai investigasi kuasi-intervensional yang menggunakan kerangka kohort perbandingan yang dialokasikan secara non-acak. Partisipan penelitian terdiri dari 100 remaja putri yang diidentifikasi mengalami ketidaknyamanan menstruasi primer ringan antara tanggal 5 Juli dan 8 Agustus 2025. Partisipan dipisahkan menjadi dua kelompok: kohort pengobatan (sabuk pemanas listrik dikombinasikan dengan parasetamol) dan kohort perbandingan (parasetamol saja). Intensitas nyeri dievaluasi sebelum dan sesudah intervensi menggunakan Skala Peringkat Numerik (NRS). Pemeriksaan statistik dari informasi yang dikumpulkan menerapkan uji Mann–Whitney bersama dengan skor N-gain.Hasil: Setiap kelompok dipastikan menunjukkan penurunan substansial dalam besarnya ketidaknyamanan (p 0,001). Meskipun demikian, kelompok terapi diamati menunjukkan penurunan yang lebih signifikan pada indeks Kontinum Penilaian Numerik rata-rata dibandingkan dengan kelompok pembanding (0,48 ± 0,58 versus 0,78 ± 0,68; p = 0,024). Kemajuan relatif, yang dinilai melalui indeks Pertumbuhan Standar, ditentukan lebih tinggi dalam kelompok terapi, menunjukkan adanya manfaat pereda nyeri yang lebih intensif.Kesimpulan: Kombinasi sabuk elektrik dan parasetamol dianggap memberikan pengurangan tambahan yang sederhana namun signifikan secara statistik pada nyeri dismenore primer ringan dibandingkan dengan penggunaan parasetamol saja. Meskipun besarnya perbedaan klinis dianggap relatif kecil, pendekatan multimodal ini diyakini telah berfungsi sebagai strategi pelengkap yang mudah diakses untuk meningkatkan kenyamanan dan berpotensi mengurangi kebutuhan akan asupan analgesik berulang di kalangan remaja.Saran: Studi acak berskala besar lebih lanjut direkomendasikan untuk memperkuat bukti yang ada dan mendukung penerapannya sebagai strategi manajemen nyeri pelengkap. Kata kunci: Dismenore Primer Ringan, Parasetamol, Remaja Perempuan, Sabuk Elektrik ABSTRACT Background: Menstruation that tends to have been accompanied by pain (dysmenorrhea) is a condition that many women continue to have experienced from their teenage years into adulthood. There still have to have been further developments in non-pharmacological therapies to have served as alternative treatment options. One promising innovation is the use of an electric belt, which is designed to have provided a soothing sensation and to have improved blood circulation.Objective: This study aimed to have analyzed the effect and effectiveness of using an electric belt compared to have using paracetamol for adolescent girls at Bhakti Kencana Garut Health Vocational School.Methods: This inquiry was structured as a quasi-interventional investigation employing a non-randomly allocated comparison cohort framework. The research participants comprised 100 teenage females identified as experiencing mild primary menstrual discomfort between July 5 and August 8, 2025. The participants were separated into two groups: a treatment cohort (electric heating belt combined with paracetamol) and a comparison cohort (paracetamol alone). Pain intensity was evaluated before and after the intervention using the Numerical Rating Scale (NRS). Statistical examination of the collected information applied the Mann–Whitney test along with the N-gain score.Results: Each assembly was ascertained to have manifested an inferentially substantive diminution in discomfort magnitude (p 0.001). Notwithstanding, the therapeutic assembly was observed to have demonstrated a more accentuated decrease in the mean Numerical Appraisal Continuum indices in comparison with the contrasting assembly (0.48 ± 0.58 versus 0.78 ± 0.68; p = 0.024). The relative progression, appraised through the Standardized-Growth index, was determined to have been more elevated within the remedial grouping, denoting the presence of an intensified pain-alleviating merit.Conclusion: The combination of an electric belt and paracetamol is considered to have provided a modest yet statistically significant additional reduction in mild primary dysmenorrhea pain compared to have using paracetamol alone. Although the clinical magnitude of the difference is regarded to have been relatively small, this multimodal approach is believed to have served as an accessible complementary strategy to have enhanced comfort and to have potentially reduced the need for repeated analgesic intake among adolescents.Suggestions: Further large-scale randomized studies are recommended to have strengthened the existing evidence and to have supported its application as a complementary pain management strategy. Keywords: Mild Primary Dysmenorrhea, Paracetamol, Adolescent Girls, Electric Belt
EFEKTIVITAS HERBAL CREAM MASSAGE KOMBINASI SEREH DAN KENCUR TERHADAP PENURUNAN NYERI IBU BERSALIN Nur Aini; Hidayat Wijayanegara; Meti Widiya Lestari; Herri S Sastramihardja; Anita Deborah Anwar; Ma’mun Sutisna
Jurnal Medikes (Media Informasi Kesehatan) Vol. 12 No. 1 (2025)
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

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Abstract

Labor is a manifestation of uterine muscle contractions. Efforts to overcome pain are by non-pharmacological methods with “Herbal Cream massage BundaCare” is one product that utilizes natural ingredients from plants such as kencur (Kaempferia galanga) and lemongrass (Cymbopogon citratus) to help reduce pain in laboring mothers. The purpose of this study was to analyze the effectiveness of massage with “Herbal Cream Massage Bundacare” compared to massage therapy alone on reducing pain in laboring women at Made Surya Cipayung Midwife Independent Practice. This type of research is a quasi-experiment (pseudo-experiment) with a two group pretest-post test design approach, the total sample of 84 laboring women in the first phase of the active phase is divided into intervention (BundaCare) and control (regular massage) groups. The research was conducted at Made Cipayung Midwife Independent Practice Center, East Jakarta on October 24, 2024-December 24, 2024. Sampling using accidental sampling and measuring pain with NRS (Numeric Rate Scales). Univariate analysis of respondent characteristics using descriptive statistics. Bivariate test using Wilcoxon test and Independent T test and effectiveness test using Gain score. The results of statistical tests using the Wilcoxon test showed a significant decrease in pain in both groups (p<0.05). The BundaCare group experienced a decrease from moderate to mild pain, while the regular massage group remained at moderate pain. The results of the effectiveness test in the “Herbal cream massage Bundacare” group obtained a Gain score of 68% which means the category is quite effective while in the massage therapy group alone obtained a Gain score of 40% which is included in the less effective category. In conclusion, there is a difference in reducing labor pain between massage therapy with “Herbal cream massage Bundacare” compared to massage therapy alone and “Herbal cream massage Bundacare” therapy is more effective in reducing labor pain compared to massage therapy alone at the Made Cipayung Midwife Independent Practice Place, East Jakarta, 2024.
EFEKTIVITAS PENGGUNAAN MULTIKOM TERHADAP PENINGKATAN KETERAMPILAN TEKNIK REBOZO PESERTA DIDIK SARJANA TERAPAN KEBIDANAN POLITEKNIK BHAKTIASIH Dewi Sulastri Sutaran; Hidayat Wijayanegara; Yanti Herawati; Teni Nurlatifah; Ma’mun Sutisna; Herry S Sastramihardja
JOMIS (Journal of Midwifery Science) Vol. 9 No. 2 (2025): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v9i2.6133

Abstract

Introduction:Labor pain can affect maternal physiology by increasing blood pressure, heart rate, respiratory rate, and muscle tension, which may interfere with concentration during childbirth. The rebozo technique is a non-pharmacological method used to reduce labor pain, yet its implementation in midwifery education remains limited. Methods: This quasi-experimental study employed a two-group pretest-posttest control design, involving 76 seventh-semester midwifery students randomly assigned to either an intervention group (n = 38), which used D’ Multikom interactive multimedia, or a control group (n = 38), which used a conventional practical guidebook. Skills were assessed before and after the intervention using a checklist. The Mann-Whitney test was used for data analysis, and effectiveness was evaluated using the WebQual 4.0 instrument. Results:The results showed a statistically significant improvement in rebozo technique skills in the intervention group compared to the control group (p = 0.001). The effectiveness score of D’ Multikom reached 89.84%, categorized as highly effective. Conclusion: D’ Multikom is more effective than traditional guidebooks in improving midwifery students’ practical skills in the rebozo technique and is recommended as an innovative learning tool in midwifery education.
Efektivitas penggunaan alat peraga mini phantom panggul terhadap peningkatan pengetahuan, sikap dan keterampilan mahasiswa D3 kebidanan semester II di Akbid Harapan Keluarga Nias Tahun 2024 Helena Mariani Sadawa; Hidayat Wijayanegara; Anita Deborah Anwar; Ma’mun Sutisna; M. Alamsyah Aziz; Siti Sugih Hartiningsih6
Jurnal Riset Kebidanan Indonesia Vol 9, No 1 (2025): Juni
Publisher : AIPKEMA (Asosiasi Institusi Pendidikan Kebidanan Muhammadiyah-'Aisyiyah Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32536/jrki.v9i1.326

Abstract

Background: Pelvic anatomy is an important part of obstetrics. The pelvis is the part of the body located below the abdomen and above the thighs, which involves a series of bones, joints, and other structures. A good understanding of pelvic anatomy is essential in midwifery practice because the pelvis plays an important role in the process of pregnancy and childbirth. However, there are obstacles for students in understanding pelvic anatomy, including the complexity of anatomical structures, clinical terms and vocabulary, anatomical visualization, limited learning resources, and discomfort with abstract materials. Research objectives: This study aims to prove the effectiveness of using a mini phantom pelvic prop on improving the knowledge, attitudes and skills of D3 Midwifery Semester II students at Akbid Harapan Keluarga Nias in 2024. Method: This type of research is an experiment with a Nonequivalent Control Group Design. The accessible population is D3 Midwifery semester II students at Akbid Harapan Keluarga Nias in 2024 as many as 70 students. The total sampling method is divided into 2 classes, namely the experimental class and the control class. Data analysis uses the Wilcoxon Signed Ranks test to see the differences between groups in SPSS. Results: The results of the study showed differences in knowledge, attitudes and skills between students who used the Mini Phantom Pelvic Teaching Aid and those who used learning videos. Conclusion: Based on the results of the N-Gain test, the mini phantom pelvic teaching aid was effective in increasing knowledge, but was not effective for the attitudes and skills of D3 Midwifery students Semester II at Akbid Harapan Keluarga Nias in 2024.
EFFECTIVENESS OF TRIPLE ELIMINATION FLIPCHART (LEB3E) IN IMPROVING PREGNANT WOMEN’S KNOWLEDGE, ATTITUDES, AND PREVENTIVE ACTIONS Dini Pajriani Khairunnisa; Yanti Herawati; Teni Nurlatifah; Hidayat Wijayanegara; Achmad Suardi; Herry Garna
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 2 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i2.2761

Abstract

The triple elimination program aims to prevent the vertical transmission of HIV, hepatitis B, and syphilis in newborns. However, the effectiveness of educational efforts for pregnant women remains a challenge. The Triple Elimination Flip chart was developed as an interactive educational tool, expected to be more effective than leaflets in improving pregnant women’s knowledge, attitudes, and preventive actions regarding triple elimination screening. This study employed a randomized pretest-posttest control group design with purposive sampling. Participants were divided into two groups: an intervention group that received education using LeB3E and a control group that received a leaflet. Measurements were taken before and after the intervention using a questionnaire assessing knowledge, attitudes, and actions, and the data were analyzed using paired sample t-tests in SPSS. The results showed that LeB3E was more effective than leaflets in enhancing pregnant women’s knowledge, attitudes, and preventive actions regarding triple elimination screening. The intervention group demonstrated a significantly greater improvement compared to the control group. The Triple Elimination Flip chart has proven to be a more effective educational tool than leaflets in increasing pregnant women's knowledge, attitudes, and actions towards triple elimination screening. Integrating LeB3E into antenatal care services is recommended as an educational strategy to support efforts in preventing the vertical transmission of HIV, hepatitis B, and syphilis.
Co-Authors Aam Maryamah Achmad Suardi Achmad Suardi Achmad Suardi Achmad Suardi Ade Ifah Latifah Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Ahmad Suardi Alamsyah Aziz Alindawati, Rifka Andi Rinaldi Anita Deborah Anwar Anita Deborah Anwar Anita Fitriaturohmah Annesya Atma Battya Ardini Saptaningsih Raksanagara Ardini Saptaningsih Raksanagara Ardini Saptaningsih Raksanagara, Ardini Saptaningsih Arsita Pratiwi Atie Rachmiatie Aziz, Alamsyah Cahyani, Yuni Cherawaty, Aneu Dave Orlando Gumay Dave Orlando Gumay, Dave Orlando Deborah , Anita Della Erriani Akaputri Dewi Nawang Sari Dewi Sulastri Sutaran Dini Pajriani Khairunnisa Dona Tri Subdari Fajarini Putri Hidayat Fatmawati Karim Febi Puji Utami Firman Fuad Wirakusumah H. R., Teni Nurlatifah H.R., Teni Nurlatifah Hadi Supriadi Harefa, Umy Darni Hartiningsih, Siti Sugih Helena Mariani Sadawa Heni Nurakilah Henri Setiawan Herlina, Lusi Herri S Sastramihardja Herri S. Sastramihardja Herry Garna Herry Garna Herry S Sastramihardja Irda Novrida Ashar Ismayanty, Devie Jernihati Krisniat Harefa Jusuf Sulaeman Effendi Karimah, Karimah Karmelia, Mela Katmini, Katmini Komalaningsih , Sri Komalaningsih, Sri Leri Septiani Lestari, Meti Widya Lilis Lisnawati Lina Herlina Lina Herlina M. Alamsyah Aziz M. Nurhalim Shahib Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Mamun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna4 Meti Widiya Lestari Metty Nurherliyany Muayah Muayah Muhammad Andiva Billy Afriza nashriva, Ita Natasya Fitri Herwandi Nike Arta Puspitasari Novita Ayu Indraswati Nur Aini Nurlatifah HR, Teni Nurlatifah, Teni Nz.Gea, Diana Oktavia Oky Haribudiman Patmawati, Rina Pramukani, Irka Puji Handayani Rhismayati, May Rifka Alindawati Rizki Safaat Nurahim Rowawi, Roni RR. Ella Evrita Hestiandari Ruswana Anwar S Sastramihardja, Herri Sastra, Herri Sastramihardja , Herri Selvi Puspan Sari Septiani , Leri Siti Sugih Siti Sugih Hartiningsih6 Sri Hennyati Amiruddin Sri Komalaningsih Stusisna, Ma'nun Suardi, Achmad Suardi, Achmad Sugiyono, Iis Suminar, Ratna Sumini Sumini, Sumini Suparni ,, Suparni Suryani Soepadan Suryani Soepardan Suryani Soepardan, Suryani Suryani Suryani Suryani Suryani Sutisna , Ma'mun Sutisna, Ma'mun Sutisna, Ma’mun Tania Novi Tania Novy Teni Nurlatifah Teni Nurlatifah Udin Sabarudin Udin Sabarudin WaOde Nur Syuhada Yanti Herawati Yeni Mahwati Zulmansyah , Zulmansyah